J Korean Acad Prosthodont.  2016 Jan;54(1):57-64. 10.4047/jkap.2016.54.1.57.

Full-mouth rehabilitation by immediate implantation combined with orthognathic surgery: a clinical report

• Ahn HR
• Heo JY
• Kim CH
• Hwang HS
• Kim BJ

• KMID: 2153050
• DOI: http://doi.org/10.4047/jkap.2016.54.1.57

Abstract

Clinical therapy that combines full-mouth rehabilitation with immediate implantation and orthognathic surgery poses a challenge to prosthodontists. This clinical report describes a multidisciplinary approach to the diagnosis and treatment of a patient presenting with skeletal discrepancy and rampant caries. The results thus achieved indicate that full-mouth rehabilitation by fixed immediate and early loading implantation accompanied by orthognathic surgery can be a predictable and effective treatment procedure.

Keyword

Full-mouth rehabilitation; Immediate implant insertion; Early implant loading; Orthognathic surgery

MeSH Terms

Diagnosis
Humans
Orthognathic Surgery*
Rehabilitation*

Figure

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  Fig. 1. Intraoral photographs of patient before treatment. (A) Maxillary occlusal view, (B) Right side, (C) Frontal view, (D) Left side, (E) Mandibular occlusal view.

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  Fig. 2. Panoramic radiograph of patient before treatment.

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  Fig. 3. (A) Initial lateral view of face, (B) Initial lateral cephalometric radiograph.

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  Fig. 4. Diagnostic wax-up. The diagnostic wax-up was done in the ideal form. The occlusion was given canine guidance. (A) Right side, (B) Frontal view, (C) Left side.

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  Fig. 5. Intraoral photographs at provisional prostheses delivery. (A) Maxillary occlusal view, (B) Right side, (C) Frontal view, (D) Left side, (E) Mandibular occlusal view.

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  Fig. 6. Intraoral photographs at definitive prostheses delivery. (A) Maxillary occlusal view, (B) Right side, (C) Frontal view, (D) Left side, (E) Mandibular occlusal view.

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  Fig. 7. Panoramic radiograph at definitive prostheses insertion.

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  Fig. 8. (A) Final lateral view of face, (B) Final lateral cephalometric radiograph.

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  Fig. 9. Overall treatment procedure. The overall treatment period was 15 months, from December 2012 to March 2014. The B, C, E, and F periods represent indispensable time. However, the A period could be reduced by immediate loading, and the D period could be reduced by positioning implantsin the #32 and 42 extraction sockets. (A, D periods: variable time, black line; B, C, E, F periods: indispensable time, red line; M: month(s))

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